Nicholas Leo Koshuta is a Prescott Valley, Arizona based male Optometrist with 24 years of experience in Optometry. He completed his graduation from Pennsylvania College Of Optometry in 2001. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Nicholas Leo Koshuta is 1264 for Optometry in Arizona.
Nicholas Leo Koshuta examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Nicholas Leo Koshuta speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | O.D. |
| Experience: | 24+ years |
| Medical School Attended: | Pennsylvania College Of Optometry |
| Graduation Year: | 2001 |
| Gender: | Male |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 2820 N Glassford Hill Rd, Ste 101, Prescott Valley,
Arizona, 86314-2256 |
| Phone: | 928-775-5606 |
| Fax: | 928-772-4999 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2567490741 |
| Enrollment ID: | I20050729000033 |
| NPI Number: | 1992701494 |
| NPI Enumeration Date: | 21 Jun, 2005 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas Leo Koshuta are as mentioned below.
| License Number | Specialization | State | Status | |
| 1264 | Optometry | Arizona | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicholas Leo Koshuta has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Flagstaff Eye Care Pllc (1850315623) | 2 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2820 N Glassford Hill Rd, Ste 101
Prescott Valley, Arizona |
| Zip: | 86314-2256 |
| Phone Number: | 928-775-5606 |
| Fax Number: | 928-772-4999 |
Patients can reach Nicholas Leo Koshuta at
2820 N Glassford Hill Rd, Ste 101, Prescott Valley, Arizona or can
call to book an appointment on 928-775-5606.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.